Gershberg, Michael

Gershberg, Michael is an individual health care provider with primary practice located at 6840 Windsor Ave , Berwyn IL 60402-3441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gershberg, Michael can be contacted via phone (708) 484-0042.

Contact Information

Primary practice address
6840 Windsor Ave Berwyn IL 60402-3441
Phone: (708) 484-0042
Fax: (708) 749-5489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036103403 Illinois

Profile Details

NPI number 1679576029
LBN Legal business name Gershberg, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Feb 14th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679576029 NPPES
Illinois MEDICAID 036103403

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